1
40
1
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1155/2020/8856022" target="_blank" rel="noreferrer noopener">http://doi.org/10.1155/2020/8856022</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
8856022
Volume
2020
ISSN
2090-6501 2090-651X 2090-651X
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1155/2020/8856022" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1155/2020/8856022</a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Update Year & Number
October 2020 List
NEOMED College
NEOMED College of Medicine
NEOMED College of Pharmacy
NEOMED Department
Department of Internal Medicine
Department of Pharmacy Practice
Affiliated Hospital
Cleveland Clinic Akron General Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Critical low catastrophe: a case report of treatment-refractory hypoglycemia following overdose of long-acting insulin.
Publisher
An entity responsible for making the resource available
Case Reports in Endocrinology
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
1905-07
Subject
The topic of the resource
BLOOD sugar; DEXTROSE; HYPOGLYCEMIA; INSULIN; INSULINOMA; PARENTERAL infusions
Creator
An entity primarily responsible for making the resource
Sandooja R;Moorman JM;Priyadarshini KM;Detoya K
Description
An account of the resource
Overdose of long-acting insulin can cause unpredictable hypoglycemia for prolonged periods of time. The initial treatment of hypoglycemia includes oral carbohydrate intake as able and/or parenteral dextrose infusion. Refractory hypoglycemia following these interventions presents a clinical challenge in the absence of clear guidelines for management. Octreotide has sometimes been used, but its use is generally limited to sulfonylurea overdose. In this case report, we present a case of refractory hypoglycemia following an overdose of 900 units of long-acting insulin glargine that failed to respond to usual modes of therapy mentioned above. Stress-dose corticosteroids were then initiated, followed by subsequent improvement in IV dextrose and glucagon requirements and blood glucose levels. Hence, corticosteroids may serve as an adjunctive therapy in managing hypoglycemia and can be considered earlier in the course of treatment in patients with refractory hypoglycemia to prevent volume overload, especially when large volumes of dextrose infusions are required.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1155/2020/8856022" target="_blank" rel="noreferrer noopener">10.1155/2020/8856022</a>
Format
The file format, physical medium, or dimensions of the resource
journalArticle
2020
BLOOD sugar
Case Reports in Endocrinology
Cleveland Clinic Akron General Hospital
Department of Internal Medicine
Department of Pharmacy Practice
Detoya K
DEXTROSE
hypoglycemia
insulin
INSULINOMA
journalArticle
Moorman JM
NEOMED College of Medicine
NEOMED College of Pharmacy
October 2020 List
PARENTERAL infusions
Priyadarshini KM
Sandooja R